Channa Khan, CMA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

280 Union St Ste 402
Lynn, MA 01901-1353

Phone

(781) 780-7755

Fax

(781) 598-0243

NPI assigned

Jun 19, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bayon Medical Group LLC

  • Primary Care Clinic/Center
  • Lynn, MA
  • NPI 1154866234
  NPD
• Bayon Medical Group LLC

  • Mental Health Counselor
  • Lynn, MA
  • NPI 1740769728
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1013692979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 UNION ST STE 402",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011353",
            "telephone_number": "781-780-7755",
            "fax_number": "781-598-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 UNION ST STE 402",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011353",
            "telephone_number": "781-780-7755",
            "fax_number": "781-598-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "CHANNA",
        "credential": "CMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Kernizan
• Kernwood Adult Day Care, Inc.
• Wendy Kessler, M.ED
• Azza Khalid
• Anum Ahmed Khan, DMD
• Amal Kharbouch, DMD
• Maryam Khodadoust, PSYD
• Suham Khoshaba
• Julia Khudisman, RN
• Chad Kibbe, BA

• All providers in Lynn, MA
• Nurse's Aide in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.